42 North Dental Care Of Michigan, PLLC
Clinic/Center, Dental in Almont, MI. Organization (NPI-2).
NPI number1649920331
StatusActive
Last updated in NPPESMar 25, 2022
Details
- NPI
- 1649920331
- Entity type
- Organization (NPI-2)
- Legal business name
- 42 North Dental Care Of Michigan, PLLC
- Organization subpart
- Yes
- Enumeration date
- Mar 25, 2022
- Certification date
- Mar 25, 2022
- Last updated
- Mar 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
606 N Main StAlmont, MI 48003-8553
Phone 810-797-8585
Mailing address
Po Box 446Almont, MI 48003-0446
Authorized official
Michael Angelo Scialabba
Chief Clinical Officer
5615122709
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